1. KERALA
HEALTH MANAGEMENT INFORMATION SYSTEM

2. HEALTH MANAGEMENT INFORMATION SYSTEM
Sponsored by European Commission Sector Investment programme
Project Cost: 178 Lakhs
Scope
Hosting the Administrative applications and Health Services Data Collection & Reporting Module centrally in one servers for remote access
Computerisation of 14 District Medical Offices (DMOs) of the Directorate of Health Services (DHS)
Networking of DMO Offices to DHS
Development of Software.
Technology
Web Oriented J2EE Applications with MVC Architecture on Oracle Application Server
Achievements
Submitted and got approved the master plan
Phase II of the recommendation got approved and implementation is in progress.

3. Main Points
Setup Hardware Infrastructure
Establish Statewide Connectivity
Deploy Browser based Applications
Provide a workable model for Data Entry
Central Server
Linux platform
Client end windows/ Linux.
Open source.

4. Project
Central Dedicated Server - Database, Application, Mail and Security Services
Health Data Entry & Reporting Application for HMIS requirements.
All applications in the Central Server – Administrative, HMIS, DDMS, etc.
Network the Directorate, DMO offices and link to the central server.
Data entry DMO level in the initial phase and PHCs in the next phase.
Optimise Data Entry for reducing workload of Health workers
Include all non-governmental health care institutions also in the reporting process later stage.
Provide feedback to the reporting institutions, so that they are motivated.
Provide spatial analysis capability through GIS integration.
Develop/Identify Drug Distribution Management Application (DDMS)
Integration of all existing computerization programmes.

5. System Architecture Highlights Central Database & Application Servers.
Browser based applications.
High bandwidth connectivity to server.
Leased line connectivity to all DMO’s.
Dial Up access from PHC’s and other institutions.
5-10 computers at each DMO with LAN connectivity
2-5 computers at District Stores, and similar institutions*
1 computer each at PHC’s/CHC’s/Other small institutions*
* Not included in this phase of the project- Future Development.

6. Leased Line 64 Kbps or higher
System Architecture
Drug Distribution
GIS
Health Data
Instn Directory
APPLICATIONS
Administrative Suit
HR, Finance
Leased Line
2 Mbps
Mail Server
Application Server
Authentication Server
Firewall
Network
Database server
Leased Line 64 Kbps or higher
Dial Up Access
LAN
CHC
PHC
DMO/DHS
Storage backup
Integrated Data repository

7. Application Software
Enhance & Extend Administrative applications to all institutions
Health Data Collection & Reporting System
Payroll & Financial Accounting Applications
Develop GIS module and incorporate spatial information
Develop and Deploy Drugs Distribution Management System

8. Administrative Applications
Infrastructure Management System
Employee Records Management
Budget Management
File Management
HR Management – Personnel & Payroll

9. Defining Programmes
Health Data module has the facility to
Create a new programme
Define sub programmes
Define activities under a programme
Define sub activities
Define parameters to be measured under an activity
Set targets for activity/parameter

10. Defining the Programme – Typical User Interface

11. Health Data module provide facility to
Configuring Reports
Health Data module provide facility to
Create a new report from a set of predefined Report templates
Define the details to be shown
Define aggregates
Define indicators

12. NATIONAL FAMILY WELFARE PROGRAMME
A Typical report
NATIONAL FAMILY WELFARE PROGRAMME
INSTITUTION -WISE ACHIEVEMENT OF …………………………………………. DISTRICT
FOR THE MONTH OF …………………………………………………..
Total No. of Institutions functioning …………………………………..
Reporting …….
Total No. of Sub centres …………………………………………..
Not Reporting ……………….
Sl.No
Institutions
No. of FW Sub centres
STERILISATION
IUD
Nirodh poeces distrubuted(CC)
Oral Pills cycles distributed
VAS
PPS ML
LAPRO
TOTAL LL
CUT
NSV
CON A
PH Centres
Name of PHCs B.
Govt. Hosp
(Urban Area) C
Private Institution C1
Vol. Organisation
TOTAL C
Total for the Month (A+B+C)
Total upto previsous month
Progressive total

13. National Family Welfare Programme
Can be easily visualized in a tree structure
National Family Welfare Programme
(Programme)
(Activity)
Sterilisation
IUD
(Activity)
(Sub Activity)
Vasectomy
NSV
Conventional
PPS
Lapro
No of OP cycles distributed LL
CUT
(parameters)
(parameters)

14. Data Entry
Health Data module provides
Dynamically created Data Entry Forms as per the programme definition
Proper Validation facilities
Facility for setting targets
Facility for verification & certification

15. Data Entry – Typical User Interface

16. Key Features Avoid duplication of data reducing the data entry job.
Flexibility in defining Health Programmes, activities and parameters providing dynamic nature to health programmes.
Indicators definable based on activities or parameters providing facility for statistical analysis.
Automatic consolidation of data, reducing the work load of employees
Proper Feed back to lower level, thus providing facility for comparison increasing motivation.
Spatial Analysis to reveal many valuable information, which may otherwise could go unnoticed.
Extensibility providing facility for data entry from any point of service

17. GIS Integration
A project was submitted by Center for Earth Science Studies.
Final approval for the project not received.

18. Hardware & System Software
Central Server
Features:
High Availability
High Reliability
High Scalability
Server Consolidation
Storage Consolidation

19. Hardware & System Software
Server Software
Red Hat Enterprise Linux AS
High-end server product, suitable for large departmental and corporate server deployments.
Oracle 9i AS
Browser-based environment for building and deploying personalized e-business portals.
Oracle 9i Enterprise Edition
Supports the high scalability requirements of the most demanding Internet-based and traditional mission-critical applications, as well as the highest availability requirements
Anti Virus Software
Firewall

20. Hardware & System Software
DMO level Hardware
Workstations (5 – 10 Nos.)
Pentium IV
256 MB RAM
40 GB Hard Disk
17” Monitor (SVGA Color)
80 column dot matrix printer
Modem
3KVA UPS (2 hour backup)
Laser printer – 2 Nos.
Structured cabling (for 24 nodes)

21. System Software PHCs and DMO
Windows XP.
Open Office.
Browser – Internet Explorer / Mozilla.
Plug-in software (Java/Acrobat/SVG).
Anti Virus Software.
Other option
Linux – Red Hat / SuSE
Open Office
Browser –Mozilla
Plug-in software (Java/Acrobat/ SVG)

22. Connectivity Options DHS NETWORK CENTRAL SERVERS SII BACK BONE NETWORK
PH CENTRES
PH CENTRES
DIAL UP ACCESS
DIAL UP ACCESS
Leased Line
Leased Line
LEASED LINE
TO DISTRICT HQ
RAS
DMO
DMO
CENTRAL SERVERS
HSRP
ASIANET
RELIANCE
BHARTI
2 MB LINK
2 MB LINK
SII BACK BONE NETWORK
2 MB LINK
HSRP
HSRP
LEASED LINE
TO DISTRICT HQ
LEASED LINE
TO DISTRICT HQ
Leased Line
Leased Line
Leased Line
Leased Line
RAS
RAS
DIAL UP ACCESS
PH CENTRES
DIAL UP ACCESS
DMO
DMO
DMO
DMO
PH CENTRES
PH CENTRES
PH CENTRES

23. NETWORK CENTRES AND eGOVERNANCE CENTRE
Connectivity Options
State Information Infrastructure (An E-Governance Initiative for Statewide Connectivity)
Kozhikode
Kochi
Thiruvananthapuram
NETWORK CENTRES AND eGOVERNANCE CENTRE
eGC

24. HR PORTAL Sponsored by MIT & Gov. of Kerala Scope Development
Project Cost: 351 Lakhs
Scope
Setting up a Health Information Centre to host the Portal Services
Implementation of a wireless network linking all the five Directorates and the Health Secretariat to the Health Information Centre.
Development
Development of a Human Resources Portal, which is web based, easily configurable, and can be parameterized.
Technology
Developed using Oracle Portal and Struts MVC Framework, designed to J2EE Specifications
Achievements
Developed the HR & Payroll applications as a highly configurable model, and portlets based on existing applications

25. HEALTH DIRECTORATES Sponsored by Dept. of Health, Gov. of Kerala Scope
Project Cost: 110 Lakhs
Scope
Computerisation of 5 Health Directorates
- Directorate of Health Services (DHS)
- Directorate of Medical Education (DME)
- Directorate of Indian System of Medicine (DISM)
- Directorate of Homoeopathy (DH)
- Directorate of Ayurveda Medical Education (DAME)
Achievements
Computerized all the five Health Directorates.

26. MEDICAL COLLEGE HOSPITAL COMPUTERISATION
Kerala Government Sponsored
Project Cost: 177 Lakhs
Scope
Hardware Supply, Networking, Software Development and Training
Software Modules
OP Management, IP Admission, Ward Management, Resource Scheduler, Lab Management, Staff Scheduling, Enquiry, Pay-ward Reservation
Technology
Web Oriented, Java with MVC Architecture, 100 Clients, 250 Node Campus wide network with Fiber Optic Back bone
Achievements
Implemented successfully in Wards, IP Admission Counter and Nursing Superintendent office

27. IP Admission & Casualty
DATA CENTRE
SERVER ROOM
Remote Access
Servers
Medical College Labs
Core Switch
DBA Consoles
Telephone Lines
LAN Extender
CDAC
Optical Fiber Cables
DHS
DME
OP Counters & Enquiry
Switch
Switch
IP Admission & Casualty
Sw.
Sw.
Sw.
Wards & Departments
Wards & Departments
Operation Theaters
System Configuration

29. MCH Computerisation

30. Tele medicine 1. ONCONET – Cancer Care for Rural Masses
A comprehensive Telemedicine solution for Cancer Treatment and Follow-up at Regional Cancer Centre, Trivandrum and its five Perepheral Centres at Early Cancer Detection Centres at Kannur, Palakkad, Kochi, Kozhenchery and Kollam.
Developed & Implemented by : CDAC Thiruvananthapuram
STATUS: Commissioned , fully functional.
2. Setting up of Telemedicine & TeleEducation Facilities in Kerala
Implementing Tele consultation and Tele Education facility at Taluk Hospitals at Quilandy, Vythiri, Mavelikkara, Neyyattinkara and Mental Hospital Trivandrum with Specialty Hospitals at Medical College Hospital, Trivandrum, Sree Chithira Thirunal Institute, Trivandrum and Regional Cancer Centre, Trivandrum.
STATUS : Functional at five centres from Dec Refer Usage statistics
3. Tele Health and Medical Education Project Kerala
Telemedicine project by Govt. of Kerala and ISRO which connects 6 Medical colleges, RCC, SCTIMST, all district hospitals and one CHC for providing tele consultation and tele education.
Developed & Implemented by : ISRO & Govt. of Kerala
STATUS : Work completed. It will start functioning soon.

31. The Telemedicine Architecture

32. e Banking First time in India in any Government Dept.
Online transfer of funds from GoI to State RCH society.
Online transaction of all funds of RCH
Software supplied by ICICI, free of cost.
Rapid transfer of Money
High security.
Online monitoring of all transactions in individual heads.

33. Akshaya Network at Malappuram
Airtel POP
Kallarakkunnu
Bharti
CHMHS
Chekkod
Block Panchayat Office
Arikkod 6
VIP
VIP
KINFRA
Kakkancherry
VIP
3.04 km 2
Kizzisary GHSS
E1 Radios
8.5 km
VIP
3.5 Km 12
7.75km 22
DRDA
Malappuram 8 5
MCT Melmuri
17.5 km 5
VIP
Vivekananda
3.48 km
4.5 km
VIP
16.8 km 8
FGH
Nilambur 20 5 3
VIP
# 294
# 337
Vettekkod
Trunching Ground
VIP 25
22.3 km
VIP
VIP 8
# 084 4
# 237 17
JNV Vangalam
VIP
VIP
Pullamkode 10
GHSS,
Kalpakanchery
14.53 km
VIP
# 463
VIP
PPR
15.68 km 5
MEA 6
22.5 km
PPR 23 3
BPIDC
Pallurkotta
AGRI,
Tavanoor
PTM
# 485
# 153 7 23
VIP 24 30
PPR
PPR 10 6
No of Akshaya centres connected
VIP xx
# 3
PPR
# 773
# 800 4 24
# 129
Sub POP
POP

34. Progress Health Management Information System- Master plan developed.
Administrative application software developed.
Health Services Data Collection completed and data entry started.
Computerization Directorate of Health Services (DHS). First phase completed.
of 14 District Medical Offices (DMOs) will be completed in one month time.

35. Progress (cont..) Central Server installed.
Computerized all the five Health Directorates.
Medical College Hospital Computerisation- Implemented successfully in Wards, IP Admission Counter and Nursing Superintendent office.
ONCONET - Commissioned , fully functional.
Telemedicine. Functional at five centres
e Banking – Functional.

36. Thank You